Occupational Therapy Week Collaboration – This year the Royal College of Occupational Therapy (RCOT) has chosen the hot topic of #OTsForEquity as the theme for OT Week (1st – 7th November). To mark the event, we will be running extra #Otalks during OT Week and supporting events organised by RCOT and The OT Show.
Monday 1st November RCOT are hosting a launch event 6-7.30pm online
‘Watch Professor Sir Michael Marmot, Director of the Institute of Health Equity, deliver his opening plenary Social justice and health equity, originally broadcast at Annual Conference 2021. Then join in the live Q&A session with a panel of occupational therapists and allied health professionals, including representatives from Public Health England and the BAMEOT UK, AbleOT UK, LGBTQIA+OT UK networks, as well as RCOT. You will be able to ask your questions using the online question box.’ Our @OT_rach will be one of the panel members
Wednesday 3 November 8-9pm The RCOT will be hosting an extra #OTalk special hosted by Karin Orman, RCOT Assistant Director – Professional Practice. The chat will help us to shine a light on the role occupational therapists can and do play in addressing health equity.
Fatigue is a common and distressing consequence of many neurological conditions and has long been an area of focus in occupational therapy, particularly for therapists working with people with progressive neurological conditions. But it is increasingly evident that fatigue is a significant problem for people living with acquired brain injury and is a distinct and direct consequence of brain injury. Estimates of prevalence vary from 21-77% and there is evidence that fatigue may last for many years (Wylie and Flashman 2017; Acciarresi, Bogousslavsky and Paciaroni, 2014; Headway, 2019).
Fatigue is a complex and subjective experience which is difficult to define as it overlaps with concepts of tiredness and with the symptoms of depression, sleep dysfunction and muscle weakness (Doncker et al 2018, Mollayeva et al 2014). It is therefore best thought of as multi- dimensional phenomenon that consists of different types of fatigue with varying signs and symptoms. Cantor et al (2014) conceptualise fatigue as encompassing “psychological, motivational, situational, physical, and activity-related components” and define it as a:
“subjective awareness of a negative balance between available energy and the mental and physical requirements of activities” (Cantor et al 2014)pp491.
So to understand an individual’s experiences of fatigue, we need to consider fatigue in the context of people’s daily lives (including occupations and environments), the behaviour associated with fatigue (i.e. coping strategies) and their beliefs around fatigue and activity. However, it can be difficult to disentangle fatigue experiences from other consequences of brain injury. For example: is a lapse in concentration a sign of fatigue or do people tire more easily because they have difficulty with attention (Wylie and Flashman 2017)
There have been several attempts to develop a taxonomy or case definition of fatigue after stroke (Kluger et al 2013, Lynch et al 2007). Others suggest a need to consider in-the-moment experiences of fatigue (state fatigue) separately from the chronic experience of fatigue (trait fatigue) as state fatigue is more likely to be associated with fatigue-related behaviours, for example, the decision to do something or whether to stop and rest (GR. Wylie and Flashman 2017) State fatigue is measured using a numeric rating scale or visual analogue scale (e.g. 0-10, with 0 being no fatigue and 10 worst fatigue).
This complexity of fatigue creates challenges when we start to assess and measure fatigue and is a challenge in the development of fatigue outcome measures. There is a myriad of fatigue scales and measures used within research but many of them were not developed for the ABI population and tend to conflate the consequences of ABI with fatigue symptoms. They are also completed retrospectively and ask for a summation of experience and are less reliable for those with cognitive challenges. When using a fatigue scale we need to pay close attention to what the scale measures, is fatigue uni or multi-dimensional, does the scale capture severity, intensity or impact or a combination of these?
As occupational therapists, we focus on enabling people to manage their fatigue effectively, so that they can participate in the daily activities that are most meaningful and necessary. To do that, we need to understand the individual’s triggers, patterns of, and responses to fatigue so we can support them in developing and applying effective strategies. But our assessment of fatigue is shaped by our conceptualisation of fatigue and depends on the tools we use to gather accurate and meaningful information about fatigue. A survey of physiotherapists and occupational therapists highlighted significant differences in therapist’s beliefs about fatigue, with potential for these differences to result in clients/patients receiving conflicting advice (Thomas et al 2019)
The questions for today are:
How do we as OTs conceptualise fatigue for people with neurological conditions?
What tools are useful in gathering data about people’s fatigue?
What challenges do we experience in practice when gathering information about fatigue?
How do we know assess whether our intervention has made a positive impact?
Cantor JB, Ashman T, Bushnik T, Cai X, Farrell-Carnahan L, Gumber S, Hart T, Rosenthal J and Dijkers MP (2014) Systematic review of interventions for fatigue after traumatic brain injury: A nidrr traumatic brain injury model systems study. Journal of Head Trauma Rehabilitation. Lippincott Williams and Wilkins, 490–497.
Doncker W de, Dantzer R, Ormstad H and Kuppuswamy A (2018) Mechanisms of poststroke fatigue. Journal of Neurology, Neurosurgery & Psychiatry. BMJ Publishing Group Ltd 89(3): 287–293. Available at: https://jnnp.bmj.com/content/89/3/287 (accessed 06/08/21).
Kluger BM, Krupp LB and Enoka RM (2013) Fatigue and fatigability in neurologic illnesses: proposal for a unified taxonomy. Neurology. Neurology 80(4): 409–416. Available at: https://pubmed.ncbi.nlm.nih.gov/23339207/ (accessed 06/08/21).
Lynch J, Mead G, Greig C, Young A, Lewis S and Sharpe M (2007) Fatigue after stroke: the development and evaluation of a case definition. Journal of psychosomatic research 63(5): 539–44. Available at: http://www.ncbi.nlm.nih.gov/pubmed/17980228 (accessed 19/06/14).
Mollayeva T, Kendzerska T, Mollayeva S, Shapiro CM, Colantonio A and Cassidy JD (2014) A systematic review of fatigue in patients with traumatic brain injury: The course, predictors and consequences. Neuroscience and Biobehavioral Reviews. Elsevier Ltd 47: 684–716. Available at: http://www.ncbi.nlm.nih.gov/pubmed/25451201 (accessed 23/12/14).
Thomas K, Hjalmarsson C, Mullis R and Mant J (2019) Conceptualising post-stroke fatigue: a cross-sectional survey of UK-based physiotherapists and occupational therapists. BMJ Open. British Medical Journal Publishing Group 9(12): e033066. Available at: https://bmjopen.bmj.com/content/9/12/e033066 (accessed 06/08/21).
Wylie GR and Flashman LA (2017) Understanding the interplay between mild traumatic brain injury and cognitive fatigue: models and treatments. Concussion. Future Medicine Ltd 2(4): CNC50. Available at: http://www.futuremedicine.com (accessed 13/05/21).
Wylie GR and Flashman LA (2017) Understanding the interplay between mild traumatic brain injury and cognitive fatigue: models and treatments. Concussion (London, England). Concussion 2(4): CNC50. Available at: https://pubmed.ncbi.nlm.nih.gov/30202591/ (accessed 06/08/21).
Evidence your CPD. If you joined in this chat you can download the below transcript as evidence for your CPD, but remember the HCPC are interested in what you have learnt. So why not complete one of our reflection logs to evidence your learning?
Social media has become part of our everyday occupations. Originally social networking sites such as Twitter, Facebook, Instagram were set up for people to connect socially with friends and families. This has now evolved and has transformed how we communicate with each other on both personal and professional levels. Communicating on social media as a health care professional can be daunting both for people new to social media or for health care students using social media for professional communication, particularly as they may be conscious about upholding professional values and behaviours (RCOT, 2021; HCPC, 2020) in a social, public and open space. However, the literature identifies that there are several motivators for engaging in learning through social media over more traditional learning/CPD environments (Gilbert 2016; Hughs 2021; Murray and Ward 2017) Social media offers increased accessibility; learning opportunities can be accessed at a convenient time and place from a mobile device. For example, you may access tonight’s chat from the comfort of your armchair at home, or in the car whilst balancing other commitments such as family and work. Social media can also offer social and professional connectedness within the community of practice and/or opportunities to have informal conversations to gain national and international perspectives on topics of interest or opportunities to connect with other OTs or students that we may not normally connect with in our everyday lives.
This tweet chat aims to discuss how this occupational therapy community of practice currently use social media for learning and continuing professional development. When using the hashtag #OTalk this week you will be consenting that your tweet can be used as part of the data collection process for my research project. This is part of my studies towards a professional doctorate in education. Ethical Approval from the Cross-School Ethics Committee for Education, Language & Psychology at York St John University has been gained: the approval code is RECEDU00055. If you do not wish your tweets to be used, please contact me within 2 weeks of this OTalk chat, either by Twitter direct message or email me at email@example.com, and your tweets can be removed from the data set.
Here are the questions that will be used to structure this week’s #OTalk
OTalk is celebrating its’ 10th anniversary this month. How long have you been joining in with the chat?
What is your motivation for joining in with the OTalk chat?
What other activities on social media have you personally (and professionally) found useful to support your learning and development? – e.g., sharing of written articles and blogs, connecting with others.
How has the pandemic effected the way that you have engaged with your learning/CPD on social media over the past 18 months?
Do you record your learning/CPD activities from social media? If so, how?
How would you like your learning on social media to be recognised in the future?
Gilbert S (2016) Learning in a Twitter-based community of practice: an exploration of knowledge exchange as a motivation for participation in #hcsmca. Information, Communication & Society, 19:9, 1214-1232,
Support on OTalk Account: Kirstie @kirstieot Evidence your CPD. If you joined in this chat you can download the below transcript as evidence for your CPD, but remember the HCPC are interested in what you have learnt. So why not complete one of our reflection logs to evidence your learning?
This week’s chat will be co-hosted by @NIHRevidence and @lindsaybearne a Senior Research Fellow in Knowledge Mobilisation at the NIHR Centre for Engagement and Dissemination, .
In 2017, WHO launched the Rehabilitation 2030 initiative, which laid out the increased need for rehabilitation due to an ageing population and increasing incidence of people with multiple long term conditions. They urged governments to improve their rehabilitation offerings.
However, since the COVID pandemic, rehabilitation services have decreased. This has affected people with long-term conditions, diminishing their health and wellbeing. A group of charities and professional bodies have teamed up (called the Community Rehabilitation Alliance) and, together, they have called for a new national strategy for rehabilitation
Why not join this week’s #OTalk to share your thoughts on how we can draw on new research to optimise rehabilitation delivery for people with long-term conditions. And discuss how innovative approaches could meet the needs of individuals in an effective and cost-effective way.
In the #OTalk discussion we will use the following questions to structure the discussion but please feel free to join in with other questions and perspectives:
What are the key challenges to delivering person-centred rehabilitation?
How can new ways of working, such as training non-specialist staff or telerehabilitation, help address the unmet need?
What research is needed to help improve rehabilitation services?
What do you think governments and policy makers need to do to address the unmet need for rehabilitation?
How do you access rehabilitation research evidence?
Host:@NIHRevidence and @lindsaybearneSupport on OTalk Account:@Preston_jenny Evidence your CPD. If you joined in this chat you can download the below transcript as evidence for your CPD, but remember the HCPC are interested in what you have learnt. So why not complete one of our reflection logs to evidence your learning?
This October 25th 2021 #OTalkTurnsTen Can you believe it? We have a number of things lined up to celebrate, including a few surprises, and we require the OTalk community to help with three of them.
Share why you love #OTalk #OTalkTurnsTen
Bake #OTalk a birthday cake and share it #OTalkDoesBakeOff
Apply to become a member of either the #OTalk team or the #OTalk Research team #BecomeAnOTalkTeamMember
Share the Love #OTalkTurnsTen
Can you tell us what you like about #OTalk and why you engage? We would love the community to share this, in tweets, video clips, or even a blog post, feel free to share on any of our social media platforms, using the hashtag #OTalkTurnsTen from now until our Birthday on 25th October.
So start thinking and start sharing your memories and thoughts, here are a few suggestions to get you started.
What do you love about #OTalk?
How did you find out about #OTalk?
What is your most Memorable #OTalk chat?
What has #OTalk meant for your career?
Have you ever had a light bulb moment during #OTalk?
Have you ever hosted a chat? What was that experience like?
Have you met any of the #OTalk team in person? Share any pictures/videos.
Have you ever been put on the naughty step for forgetting to include the hashtag?
Did you come to one of our meetup events at a conference, what was it like?
Remember when sharing always include #OTalkTurnsTen By sharing you are giving @OTalk_ permission to use content*
Bake #OTalk a Birthday Cake #OTalkTurnsTen #OTalkDoesBakeOff
As the Great British Bake Off has returned, and has the cheek to air during our time slot, Tuesdays 8pm, we would love you to make @OTalk_ a birthday cake. We are looking forward to seeing how creative the OTalk community is at this meaningful occupation. The #OTalk team will be sharing their efforts too, trust us there will be some funny ones.
So get baking and don’t forget to share your images (no matter the outcome, it’s the processes that are important) on social media used the three hashtags #OTalkTurnsTen #GBBO #OTalkDoesBakeOff
By sharing you are giving @OTalk_ permission to use content*
Become an #OTalk or #OTalk Research Team member #OTalkTurnsTen #BecomeAnOTalkTeamMember
#OTalk is a free resource for the community and is run by volunteers. #OTalk aims to remain a free resource, and anything that team members might get involved in that has a cost attached is self funded by that member. It can be a demand on your free time, but it’s worth it, and it can be fun. Plus as a team we have always supported each other.
The #OTalk research team currently has only two members who work solely on identifying hosts and curating 12 research chats a year on the 1st Tuesday of the month. There is some admin involved including posting blog posts and communicating with hosts, plus supporting the monthly chat. You will not be required to do every month as this will be shared with other research team members. You will be given some mentoring to start with. If you’re interested in research and have some basic knowledge of Twitter and other platforms this might be a perfect voluntary role for you. It’s a great opportunity for you to develop your networks within the research community too.
The #OTalk team currently has 6 members, this team might be a little more demanding on your time. Jobs that the team shares include; .
Maininting the blog/website
Managing the email account
Managing and liaising with those that offer to host
Posting blog posts
Collecting data and transcripts of chats
Taking it in turns to support the weekly chats
Liaise with anyone contacting the team via Twitter, Facebook, Instagram and email
Promoting #OTalk at events e.g. manning a stall and/or running workshops or giving presentations about #OTalk and social media as a CPD and Therapeutic tool, when invited to do so at OT events across the UK. This is self funded.
Working with stakeholders such as The RCOT and The OT show on projects.
So if you’re a fan of doing lots of work, just for the joy of it; think of yourself as an OTGeek; want to network more; and develop your organisational, social media and tech skills then you might just be a good fit. We will of course give guidance and support.
Lastly we have a few other surprises in store; including a 10th Birthday Gift for you, but more about that later! We can’t wait to see what you come up with!!!!
*By sharing posts using any of these hashtags #OTalkTurnsTen #GBBO #OTalkDoseBakeOff You are consenting to the OTalk team using what you have shared, to promote our birthday. We do not keep any personal information, but will search social media for your posts using the hashtags and share them across all of our platforms.